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  • Catherine A. Sharp, Karen Hughes and Mark A. Bellis

    Stay Well in Wales:The publics views on public healthFindings from the nationally representative household survey

  • Stay Well in Wales:The publics views on public healthFindings from the nationally representative household survey

    Catherine A. Sharp1, Karen Hughes1,2 & Mark A. Bellis1,2

    ISBN 978-1-910768-61-7

    2018 Public Health Wales NHS Trust

    Material contained in this document may be reproduced under the terms of the Open Government Licence (OGL) provided it is done so accurately and is not used in a misleading context. Acknowledgement to Public Health Wales NHS Trust to be stated. Copyright in the typographical arrangement, design and layout belongs to Public Health Wales NHS Trust.

    1Hot House Research TeamBangor Institute of Health and Medical Research School of Healthcare SciencesBangor UniversityBangor LL57 2DGTel: +44(0)1248 383519

    2Policy, Research and International Development DirectoratePublic Health Wales NHS TrustClwydian House, Wrexham Technology ParkWrexham LL13 7YPTel: +44(0)1978 318413

    Acknowledgements We would like to express our sincere gratitude towards all the individuals in Wales who gave their time to participate in this survey. We would like to thank BMG Research for conducting the household survey data collection, and Limegreentangerine for creating and hosting the online survey. Special thanks must go to colleagues at Public Health Wales who supported the development of the survey, especially Tracy Black, Alisha Davies, Claudine Anderson, Ceri Smith, Kelly Edwards and Adele Bowler from the Policy, Research, and International Development Directorate; Susan Belfourd, Leah Morantz, James Field, Daniel Owens, Rebecca Smith, Christopher Jones and Kate Ashill from the Communications team; and Stefano Jefferson and Rhys Hough from Procurement. We are grateful to colleagues at Public Health Wales and Bangor University who piloted the questionnaire during the development phase. We would also like to thank Hayley Jenney at Jenney Creative for the design of this report.

    FundingThis report was funded by Public Health Wales as part of developing its long term strategy.

  • Stay Well in Wales



    In 2014, Welsh Government launched the Wales We Want National Conversation. It asked the people of Wales to say what was important to them about the country they live in and what direction it should take. The response was remarkable and involved thousands of people across the country. The conversation led to the world leading Well-being of Future Generations legislation which now enshrines the principles of collaboration, prevention and involving the people of Wales in how our public services work. Public Health Wales is now developing its long-term ambitions on how it will protect and improve the health of our nation over the next 12 years.

    Embracing the principles set out in the Well-being of Future Generations (Wales) Act 2015, we wanted to hear directly from the public about what are the major challenges to health in Wales and how they would like them addressed. We asked 1,001 individuals who represented the different ages, genders and levels of deprivation across Wales to participate in Stay Well in Wales; a nationally representative survey about what we all think could help us live healthier, happier and longer lives.

    This report sets out what Wales thinks should be done to improve the health of its residents. This is a first for Wales and something that most countries in the world are yet to accomplish. Like the Wales We Want Conversation, the views expressed in Stay Well in Wales have proved to be rich, informed and strongly supportive of investing in a healthier future for our nation. At Public Health Wales, we aim to use this knowledge to help set aspirations for the next decade and beyond and help deliver a Wales with health, opportunity and prosperity for all.

    Dr Tracey CooperChief Executive Public Health Wales

  • Public Health Wales


    Stay Well in Wales:The publics views on public health

    A nationally representative household survey asked 1,001 residents aged 16 years and overabout their perceptions of a range of public health issues.

    Top 10 sources of information people in Wales use oftento find information to keep themselves healthy and well


    Drug abuse

    Alcohol abusePhysical


    eating habitsPoor parenting

    of children

    Poor parentingof children

    Social isolation



    Alcohol abuse

    HousingLack of employment

    Lack ofemployment

    Affordability ofhealthy choices

    Affordability of healthy choices

    Unhealthy eating habitsHealth care access

    Lack of screening for adult illness

    Lack of screening for child illness

    Physical inactivity

    Hospital infections

    More than 5 in 10 people said

    ?Q ?QWhich public health issuesare important contributors to poor health and well-being?*

    Health care access

    Social isolation

    Drug abuse

    Lack of screening for adult illness

    Which public health issuesdo public services needto do more to address?*

    Hospital infections

    Chatting with relatives, friends and colleagues


    Speaking to adoctor or nurse

    TV healthdocumentaries TV news

    Social mediaSpeaking to a pharmacist or

    chemistNHS websites Product adverts Health apps

    1 2 3 4 5

    6 7 8 9 10

    Air pollution

    *The bigger the text appears, the greater the proportion thinking the issue as an important contributor or as need to do more

  • Stay Well in Wales


    What are the Welsh publics position on a range of

    Improving health in the poorest families

    Mainly improving health in the poorest families but with a similaramount spent on others as well

    Improving health inall families equally,regardless of income

    Improving health in wealthier families

    50% 25% 25% 0%

    If public services had extra money to spend, the public would prefer to spend it on:

    55% Children

    (0-15 years)

    16% Older adults

    (65+ years)

    9% Adults

    (25-64 years)

    20% Young people

    (16-24 years)


    47% 51% 35%

    Agree schools should teach children more about how to

    live a healthy life5% disagree

    Agree the NHS should spend less on treating illness and

    more on preventing it15% disagree



    Agree people should keep themselves healthy, its not the

    job of public services6% disagree

    Agree advertising of unhealthy foods to children should be banned to reduce

    childhood obesity13% disagree

    Agree advertising of alcohol should be banned to reduce alcohol problems

    26% disagree

    Agree parents should be given professional advice on how to

    raise their children well23% disagree


    Agree they feel safe and secure

    in their local community5% disagree

    Agree companies and individuals should be

    made to adopt behaviours to reduce climate change

    10% disagree




    Agree they support 20mph speed limits where they will

    reduce road traffic injuries12% disagree

    Agree they worry when they visit a hospital

    that they might pick up an infection48% disagree


    Agree their GP usually talks to them about how to live a healthier life

    50% disagree

    What are the Welsh publics positions on a range of public health priorities?

    The Stay Well in Wales nationally representative household survey interviewed 1,001 people (aged 16+ years) from across Wales at their homes in 2017. Randomly selected households were invited to participate through a letter; 6% of households opted out at this stage. Of those eligible to participate, 76% agreed to take part and we are grateful to all those who freely gave their time. All analyses have been adjusted to national population demographics.

  • Public Health Wales



    Introduction 1

    Methodology 1

    Findings 2

    Which public health issues are considered to contribute most to poor health and well-being? 2

    Which public health issues do public services need to do more to address? 4

    Where do the Welsh public get information on how to stay health and well? 6

    The Welsh publics position on public health priorities 8

    Perceived spending priorities if additional money was available to improve public health 10

    Conclusion 11

    List of additional data available in the Appendix 12

  • Stay Well in Wales


    Stay Well in Wales:The publics views on public healthFindings from the nationally representative household survey

    Introduction The Stay Well in Wales survey sought to obtain the views of residents of Wales on a range of public

    health issues in order to inform the development and implementation of Public Health Wales strategy for 2018-2030.

    Public Health Wales is the national public health agency in Wales and works to protect and improve health and well-being and reduce health inequalities for people in Wales.

    The public is a critical stakeholder in decision making in Wales as enshrined in the Well-being of Future Generations (Wales) Act 2015*. Citizen engagement is one of four key priorities set by the Future Generations Commissioner 2017-2023**.

    Stay Well in Wales is the first major public opinion survey on public health in Wales. The survey ran in September and October